AI Article Synopsis
- * The focus remains on identifying serious prenatal obstructions and determining candidates for intervention, especially in cases like myelomeningocele, a severe congenital condition.
- * The article reviews contemporary approaches to managing prenatal hydronephrosis and discusses the advancements in antenatal repair techniques for myelomeningocele, including its urologic implications.
Article Abstract
Widespread use of ultrasonography has resulted in an increase in the recognition of fetal hydronephrosis. The enthusiasm that accompanied early interventions has been tempered by the experience and results obtained over the past 2 decades. The goal has remained the same: to identify patients with serious prenatal obstruction and to identify those which may benefit from intervention. Myelomeningocele remains a devastating congenital anomaly. Fetal and experimental studies suggested that patients with myelomeningocele could benefit from prenatal intervention. Advances in technology and perinatal management have made intervention for more complex malformations such as myelomeningocele possible. This article will review current knowledge and will detail rational management for the management of prenatal hydronephrosis. The current state of antenatal myelomeningocele repair and the urologic implications will be described as well.
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| http://dx.doi.org/10.1590/s1677-55382004000100010 | DOI Listing |
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